Exploring women's experiences of TRAM flap breast reconstruction after mastectomy for breast cancer

Oncology Nursing Forum
Olivia Hill, Kate White

Abstract

To explore and describe women's experiences of transverse rectus abdominus musculocutaneous (TRAM) flap breast reconstruction following mastectomy for breast cancer. Qualitative, exploratory, and descriptive. A private hospital in Perth, Western Australia. Purposive sampling. Inclusion criteria were English-speaking women who had undergone TRAM flap breast reconstruction 6-24 months prior to the study. Response rate was 78%. Ten women were recruited, five who had undergone immediate breast reconstruction and five who had undergone delayed breast reconstruction. Data were collected through individual semistructured interviews and analyzed with a thematic approach. Saturation was reached after 10 interviews. Coding and categorizing were undertaken with each transcript until the process revealed recurring themes. A focus group interview was conducted with the participants. Three major themes emerged from the data: losing a breast matters, adjusting to a changing body image, and redefining normality. The study highlights the significant impact of breast cancer, mastectomy, and breast reconstruction on the lives of women. All facets of a woman's life may be affected, often resulting in a holistically life-changing experience. Suppor...Continue Reading

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